Individual
BETHANY KEATING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
339 BROADWAY, MENANDS, NY 12204-2708
(518) 588-4150
Mailing address
15 TIMBER TRCE, BALLSTON SPA, NY 12020-3721
(518) 588-4150
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
011305
NY
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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